Post Bariatric

In the last 3 years, the amount of patients that have undergone massive weight loss has increased dramatically. This has required us to attend more training courses and develop and design more operational techniques for these types of patients.

The reality for most patients is that no matter how aggressive the removal of skin is in each procedure, there will always be more skin due to the fact that skin is an elastic organ. We always try to stage the procedures, and rarely perform more than 2 to 3 procedures at the time. The most important thing is to have a patient in good health. Blood work, EKG, and preoperative evaluation are mandatory. Also, it is very important to stop any blood thinners such as: Aspirin, Multivitamins, Vitamin E, Motrin, Ibuprofen, and supplements with Ginkgo Biloba, Ginseng, and Green Tea. These blood thinners must be stopped for at least 3 to 4 weeks (longer the better).

“The patient’s priority is first.” The procedure will be staged according to the patient’s need and priorities. We like to begin with the breasts and tummy, continue with the face, arms, and thighs, then finish with the butt and upper back. We like to wait 1 to 2 months in between surgeries, and 6 months if it is in the same area. It is also important to make sure the patient has a good protein intake. Ideal patients have been able to maintain a healthy stable weight for at least 6 months at their recommended BMI.